How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $33.11 Median $64.57 Typical High $85.11 | Facility | None | $33.11 | $64.57 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $60.26 Typical High $70.79 | Professional | None | $33.11 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $18.62 Typical High $29.51 | Professional | 52 · Reduced service | $16.60 | $18.62 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.41 Typical High $12.02 | Professional | 53 · Discontinued | $6.61 | $7.41 | $12.02 |
BCBS Idaho Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $416.87 | Facility | None | $208.93 | $245.47 | $416.87 |
BCBS Idaho Setting Professional Modifier None Typical Low $28.18 Median $52.48 Typical High $61.66 | Professional | None | $28.18 | $52.48 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $47.86 Typical High $47.86 | Professional | None | $30.90 | $47.86 | $47.86 |
Moda Health Setting Facility Modifier None Typical Low $33.11 Median $70.79 Typical High $295.12 | Facility | None | $33.11 | $70.79 | $295.12 |
Moda Health Setting Professional Modifier None Typical Low $33.11 Median $60.26 Typical High $70.79 | Professional | None | $33.11 | $60.26 | $70.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $18.62 Typical High $29.51 | Professional | 52 · Reduced service | $16.60 | $18.62 | $29.51 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.41 Typical High $12.02 | Professional | 53 · Discontinued | $6.61 | $7.41 | $12.02 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $79.43 | Facility | None | $39.81 | $39.81 | $79.43 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $81.28 | Professional | None | $39.81 | $40.74 | $81.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $416.87 | Facility | None | $218.78 | $309.03 | $416.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $34.67 Median $45.71 Typical High $75.86 | Professional | None | $34.67 | $45.71 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $281.84 | Facility | None | $41.69 | $41.69 | $281.84 |
Select Health Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $41.69 | Professional | None | $20.42 | $26.30 | $41.69 |
United Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $67.61 | Professional | None | $28.84 | $41.69 | $67.61 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $28.18 Median $37.15 Typical High $37.15 | Professional | 78 · Unplanned return to OR | $28.18 | $37.15 | $37.15 |
Where Idaho sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 3rd of 51
$53.70
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.